Adenovirus—A Deadly Disease in the Solid Organ Transplant Population: Risk Factors and Outcomes

D. Majorant, F. Qiu, Andre C Kalil, N. Wilson, Diana F Florescu

Research output: Contribution to journalArticle

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Abstract

Background: The importance of adenoviruses (AdV) in the immunocompromised population has been more recognized in recent decades. We aimed to assess the risk factors and outcomes associated with AdV in solid organ transplant recipients. Methods: This was a retrospective cohort study of solid organ transplant recipients who tested positive for AdV between January 1, 2004, and March 12, 2014. The subjects were divided in 2 groups: AdV asymptomatic infection and AdV disease. The characteristics and outcomes of the groups were compared using Wilcoxon rank-sum and Fisher exact tests; logistic regression was performed to evaluate risk factors. Results: A total of 125 patients were included with a mean (SD) age of 9.79 years (16.54); 49.6% were male, and 20.8% had AdV disease. No significant risk factors were found for AdV disease by univariate analyses. Comparing patients with disease and with asymptomatic infection, rejections during the first year after testing positive for AdV were 7 (26.92%) vs 17 (17.17%); mortality at 1 year post-transplantation was 26.92% vs 6.06% (P =.006), respectively, and at 1 year after testing positive for AdV was 38.46% vs 11.11% (P =.002), respectively. Conclusion: No independent risk factor for AdV disease was identified, but patients with AdV disease had a significantly higher mortality compared with those with asymptomatic infection.

Original languageEnglish (US)
Pages (from-to)3769-3774
Number of pages6
JournalTransplantation Proceedings
Volume50
Issue number10
DOIs
StatePublished - Dec 2018

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Adenoviridae
Transplants
Population
Asymptomatic Infections
Adenoviridae Infections
Mortality
Cohort Studies
Retrospective Studies
Transplantation
Logistic Models

ASJC Scopus subject areas

  • Surgery
  • Transplantation

Cite this

Adenovirus—A Deadly Disease in the Solid Organ Transplant Population : Risk Factors and Outcomes. / Majorant, D.; Qiu, F.; Kalil, Andre C; Wilson, N.; Florescu, Diana F.

In: Transplantation Proceedings, Vol. 50, No. 10, 12.2018, p. 3769-3774.

Research output: Contribution to journalArticle

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abstract = "Background: The importance of adenoviruses (AdV) in the immunocompromised population has been more recognized in recent decades. We aimed to assess the risk factors and outcomes associated with AdV in solid organ transplant recipients. Methods: This was a retrospective cohort study of solid organ transplant recipients who tested positive for AdV between January 1, 2004, and March 12, 2014. The subjects were divided in 2 groups: AdV asymptomatic infection and AdV disease. The characteristics and outcomes of the groups were compared using Wilcoxon rank-sum and Fisher exact tests; logistic regression was performed to evaluate risk factors. Results: A total of 125 patients were included with a mean (SD) age of 9.79 years (16.54); 49.6{\%} were male, and 20.8{\%} had AdV disease. No significant risk factors were found for AdV disease by univariate analyses. Comparing patients with disease and with asymptomatic infection, rejections during the first year after testing positive for AdV were 7 (26.92{\%}) vs 17 (17.17{\%}); mortality at 1 year post-transplantation was 26.92{\%} vs 6.06{\%} (P =.006), respectively, and at 1 year after testing positive for AdV was 38.46{\%} vs 11.11{\%} (P =.002), respectively. Conclusion: No independent risk factor for AdV disease was identified, but patients with AdV disease had a significantly higher mortality compared with those with asymptomatic infection.",
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